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LARISA PALMER, PSY.D., P.A. - Florida Company Profile

Company Details

Entity Name: LARISA PALMER, PSY.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LARISA PALMER, PSY.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 08 Mar 2012 (13 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: P12000023321
FEI/EIN Number 45-4769662

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 450 North Park Road, Suite 400, HOLLYWOOD, FL, 33021, US
Mail Address: 450 North Park Road, Suite 400, HOLLYWOOD, FL, 33021, US
ZIP code: 33021
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225303969 2012-03-13 2012-03-13 210 S FEDERAL HWY, SUITE 302, HOLLYWOOD, FL, 330206811, US 210 S FEDERAL HWY, SUITE 302, HOLLYWOOD, FL, 330206811, US

Contacts

Phone +1 954-925-3191

Authorized person

Name LARISA PALMER
Role PRESIDENT
Phone 9549253191

Taxonomy

Taxonomy Code 103TC2200X - Clinical Child & Adolescent Psychologist
License Number PY7753
State FL
Is Primary Yes
Taxonomy Code 103TF0200X - Forensic Psychologist
License Number PY7753
State FL
Is Primary No

Key Officers & Management

Name Role Address
PALMER LARISA M President 450 North Park Road, HOLLYWOOD, FL, 33021
PALMER LARISA M Agent 450 North Park Road, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
CHANGE OF PRINCIPAL ADDRESS 2013-04-29 450 North Park Road, Suite 400, HOLLYWOOD, FL 33021 -
CHANGE OF MAILING ADDRESS 2013-04-29 450 North Park Road, Suite 400, HOLLYWOOD, FL 33021 -
REGISTERED AGENT ADDRESS CHANGED 2013-04-29 450 North Park Road, Suite 400, HOLLYWOOD, FL 33021 -

Documents

Name Date
ANNUAL REPORT 2013-04-29
Domestic Profit 2012-03-08

Date of last update: 01 Mar 2025

Sources: Florida Department of State